Boom time for qualified radiologists
Indian radiologists are increasingly receiving work from the US, Europe and elsewhere abroad, therefore contemporary radiologists need to be computer literate in this technology intensive specialisation "Radiology has become an attractive career choice of young people. The first point in the line of a medical investigation, it plays a very critical role in medicine. Technology developments in this field are fast and furious, which is why today it’s the # 1 specialisation choice for MBBS graduates," says Dr. Dhaval Modi, head of the department of radio diagnosis, neuro-radiology and interventional radiology at the highly reputed Bombay Hospital and Medical Research Centre (estb. 1952), since 1994.Also known as radioscopy, radiology involves the use of radiation for different types of ‘imaging’, including x-rays, radiant dye, ultrasound, CT scan, MRI (magnetic resonance imaging), PET scan, gamma ray, interventional radiology, mammography and molecular imaging. It all started with the simple x-ray, but today there are infinite possibilities and speciality areas within a radiologist’s ambit. The bottom line is no physician or specialist can make a reliable diagnosis without the help of a radiologist who studies images of tissues, bones and organs for further diagnosis and therapy. Radiology also helps detect and prevent osteoporosis in women by using a safe advanced technology termed DXA.
A major breakthrough in this field — teleradiology i.e electronic transmission of radiological images such as x-rays, CTs and MRIs from one location to another for interpretation and consultation — has spurred the demand for qualified radiologists. Consequently people across the world including the remotest parts of India, can get the expert opinion of best radiologists.
Since India boasts a large pool of well-trained doctors and is simultan-eously experiencing an ICT (information communication technology) revolution, it is gradually emerging as a tele-radiology hub. Indian radiologists are increasingly receiving work outsourced to them from the US, Europe, Singapore and the Middle East. Therefore one of the important attributes of a contemporary radiologist is computer literacy, as this specialisation has become technology intensive.
An MBBS degree is the prerequisite qualification for a Masters in radiology or radio-diagnosis. Apart from several universities which offer a limited number of seats for MD qualification, a three-and-a-half-year radiology programme is offered by the National Institute of Mental Health and Neuro Sciences, Bangalore and All India Institute of Medical Sciences, New Delhi.
Unsurprisingly, there’s no dearth of demand for qualified radiologists. Freshers starting as resident doctors in radiology in hospitals can take home Rs. 15,000-20,000 per month which could rise to a whopping Rs.3 lakh in six years. Radiologists are also required in diagnostic imaging centres and diagnostic laboratories, where pay packages are equally good. And for those with capital to start their own clinics, the sky is the limit.
An alumnus of Mumbai’s well-known Grant Medical College, which awarded him his MBBS degree in 1986, Modi signed up with Bombay Hospital as a resident doctor in radiology, and simultaneously read for his MD in radiology at Bombay University. After duly qualifying in 1988, he was promoted to the position of clinical assistant, interventional neuroradiology and assistant radiologist. Subsequently fellowships came his way and he took a sabbatical from Bombay Hospital to work in interventional radiology and digital subtraction angiography at the Ulleval University Hospital, Oslo, Norway. In 1990, Modi underwent training in MRI and interventional neuroradiology in Britain, Italy and France.
Super specialised, in 2003 Modi promoted India’s first endovascular neuro surgery clinic. A national expert in this field, he has presented papers on interventional neuroradiology at international congresses, and has published several books on the subject.
"Currently there’s a 20 percent shortage of radiologists in the US, increased workload and not enough professionals for night duties. That’s why teleradiology, which can transfer images through computerised radiology, digital radiography and PACS (picture archiving communicating systems) works out perfectly for Indian radiologists. We read images in the morning while the US sleeps, and can deliver our diagnoses to reach them first thing in the morning," says Modi. The system works well in practice, both sides of the Atlantic.
Indra Gidwani (Mumbai)